Individual
AMELIA ZIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 W DEAN KEETON ST FL 5, AUSTIN, TX 78712-1091
(512) 471-3515
Mailing address
2705 MANOR RD APT 202, AUSTIN, TX 78722-1731
(512) 986-3805
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20002
TX
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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